Denial Management Analyst
Denial Management Analyst
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Researches and analyzes denials on a daily basis identifies root causes and processes resubmissions/appeals with the goal of overturning the denial and getting paid by the insurance carrier maximizing revenue for the division.
Three to five years of progressive experience in appeal/denial management- Preferred
Strong knowledge of health plan requirements
Strong analytical statistical analysis skills required. Strong knowledge of EPIC Microsoft Excel Word and Power Point skills required
Knowledge of federal regional and state payer coverage patterns (CMS fiscal intermediary and Administrative
Strong organizational and communication skills; professionalism able to work with all levels of staff.
Bachelors Degree preferred ( Certified Professional Coder(CPC )
Associates Degree required (Medical Billing experience)
Certified Professional Coder (CPC) required
EPIC Cadence HB PB certifications preferred
Knowledge of CPT coding and ICD10 diagnosis required
Ability to work and effectively multi-task in a fast-paced clinic environment with patients with developmental disabilities.
Department: Pediatrics Bargaining Unit:Non UnionCampus:MOSES Employment Status:Regular Full-TimeAddress:1225 Morris Park Avenue Bronx
Shift:DayScheduled Hours:8:30 AM-5 PMReq ID:225542Salary Range/Pay Rate:$62400.00-$78000.00
For positions that have only a rate listed the displayedrate is the hiringrate but could be subject to change based on shift differential experience education or other relevant factors.
To learn more about the Montefiore Difference who we are at Montefiore and all that we have to offer our associates please clickhere.
Montefiore is an equal employment opportunity employer. Montefiore will recruit hire train transfer promote layoff and discharge associates in all job classifications without regard to their race color religion creed national origin alienage or citizenship status age gender actual or presumed disability history ofdisability sexual orientation gender identity gender expression genetic predisposition or carrier status pregnancy military status marital statusor partnership status or any other characteristic protected by law.
N/A
Required Experience:
IC
Employment Type
Full-Time
